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Rituxan vs. Leukeran

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Rituxan (rituximab) and Leukeran (chlorambucil) are both used to treat certain types of blood cancers, but they work in different ways and are administered differently. Rituxan is a monoclonal antibody given as an intravenous infusion, targeting specific immune cells called B cells to treat conditions like non-Hodgkin lymphoma and rheumatoid arthritis. In contrast, Leukeran is a chemotherapy oral medication that works as an alkylating agent, damaging the genetic material of cancer cells to treat chronic lymphocytic leukemia and lymphomas. Rituxan is often used in combination with other medications and requires premedications to prevent infusion-related reactions, while Leukeran can be taken alone or with other anticancer medications and is more convenient as a daily pill. Rituxan can cause serious infusion-related reactions and a higher risk of infections lasting up to a year, whereas Leukeran can lead to low blood cell counts, increasing the risk of serious infections and bleeding. Additionally, Rituxan is not typically associated with hair loss, while Leukeran can cause infertility and other cancers.

Rituxan

(rituximab)

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Leukeran

(chlorambucil)

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Summary for Rituxan

Prescription only

Rituxan (rituximab) is a monoclonal antibody. It treats certain types of blood cancers (e.g., non-Hodgkin lymphoma) and autoimmune conditions (e.g., rheumatoid arthritis) by targeting specific immune cells. Rituxan (rituximab) is given as an infusion through the vein (IV), typically at an infusion center. Your oncologist will give you premedications before each dose to lower the risk of serious infusion-related reactions. Other possible side effects of this medication include rash and weakness. Rituxan (rituximab) is available as many different brands (or biosimilars), but they don't all treat the same conditions.

Indications for Rituxan

Blood cancers

Autoimmune conditions

Pros and Cons for Rituxan

Pros

  • Works in a more targeted, specific way than chemotherapy
  • Might only need a dose once every 6 months for certain conditions
  • Doesn’t typically cause hair loss

Cons

  • Can cause serious infusion-related reactions
  • Each infusion can last over 3 hours, so can be inconvenient
  • Higher risk of infections can last a year after your last dose (sometimes longer)

Common Side Effects for Rituxan

  • Fever (53%)
  • Lower white blood cell counts (up to 48%)
  • Chills (33%)
  • Infection (31%)
  • Weakness (26%)
  • Nausea (23%)
  • Headache (19%)
  • Night sweats (15%)
  • Rash (15%)

Please note: Side effects listed were reported by people who took Rituxan (rituximab) alone for NHL in clinical studies.

Warnings for Rituxan

  • Infusion-related reactions
  • Serious skin reactions
  • Hepatitis B reactivation
  • Progressive multifocal leukoencephalopathy
  • Tumor lysis syndrome
  • Serious infections
  • Serious heart problems
  • Kidney problems
  • Gut blockage and tears
  • Vaccines
  • Harm to unborn baby
  • Combination treatment for people with autoimmune conditions

Summary for Leukeran

Prescription only

Leukeran (chlorambucil) is an oral medication that treats chronic lymphocytic leukemia (CLL) and certain types of lymphomas. It can be taken alone or in combination with other anticancer medications. Leukeran (chlorambucil) can help improve quality of life in people with these cancers and ease symptoms, but it’s not used to cure these cancers. It’s a convenient pill that's taken daily. But, it can raise your risk for infections and bleeding.

Indications for Leukeran

  • Chronic lymphocytic leukemia (CLL)
  • Hodgkin’s lymphoma (HL)
  • Other non-Hodgkin’s lymphomas

Pros and Cons for Leukeran

Pros

Cons

  • Can raise your risk for infections or bleeding and bruising
  • Can cause infertility and other cancers
  • Not safe in pregnancy or breastfeeding
  • Not used to cure your cancer, but mainly to improve quality of life and help with cancer-related symptoms

Common Side Effects for Leukeran

  • Low blood cell counts

Warnings for Leukeran

  • Low blood cell counts
  • Risk for developing other cancers
  • Not able to get pregnant and harm to unborn babies
  • Seizures
  • Severe skin reactions

Prices with our coupons for Rituxan vs. Leukeran

Price Card Drug Icon
Rituxan20 vials / 10ml of 10mg/ml
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Leukeran15 tablets / 2mg
$8,572.76$9,323.67
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